Weekly E-Blast:  
Voicing the latest news on Communities in Need
In This Issue

Have news to share with us? Want to be featured on our next E-Digest? Want to read about something in particular? Please email us at aneeqa@machc.com. 

April 11, 2016
on hosting a very beautiful and fun Gala this Saturday, April 9, 2016

MACHC was present along with some Health Center CEOs who attended in support and celebration!
Pictured above: Mark Rajkowski, CEO of West Cecil giving a welcome speech

(1) Cultural Competency Conference (Pick one day) - Dover Downs, DE
Thursday, May 19th AND Friday, May 20th, 2016

Outreach & Enrollment Call 
Friday, May 20, 2016
11am- noon
1-866-740-1260 Access 4319483
Who: Outreach Staff
Discuss state updates, best practices, barriers/issues that need attention and provide any support and advocacy where needed.

(3) MACHC Clinical Informatics/Quality/Finance Conference 
Thursday, June 16th, 2016
Anne Arundel Medical Center, Annapolis, MD
Transformation inHealthcare Delivery: Shifting from Volume to Value
The Mid-Atlantic Association of Community Health Centers provides an opportunity for community health centers providers / clinicians and other safety net providers to receive professional development and ongoing education while networking with colleagues in the primary care settings across Delaware, Maryland and other states in the region. Transforming health care payment and delivery systems is essential in order to achieve improvements in health care quality and reductions in costs that are needed to achieve the Triple Aim.  This conference seeks to share information and educate attendees on concepts of volume to value in all four breakout tracks - Finance, IT, Clinical and Quality. This is a conference you will not want to miss!   Register Here
  • Apr 10 - 12, 2016
    Cambridge, MD 
    Type: Conference/Meeting
    Sponsoring organization: Mid-Atlantic Telehealth Resource Center

    (3) 2016 Uniform Data System (UDS) Changes Webinar - Tuesday, April 12, 2-3:30 p.m. EST
     BPHC is hosting this webinar to highlight proposed changes for the 2016 UDS information to be reported by Health Center Program grantees and look-alikes in February 2017. The changes include: 
    adding to patient characteristics, including sexual orientation and gender identity (Table 3A, 3B),adding quality improvement staff, community health workers, and dental therapists in the staffing tables (Table 5, 8A),revising clinical measures to improve measure alignment and data standardization (Table 6B, 7), and adding two new elements on the electronic health record (EHR) capabilities and quality recognition form. 
    Connect herethe day of the webinar. 
    Call-In: 888-628-9520
    Participant Passcode:

    (4Protecting Farmworkers: Revised EPA's Worker Protection Standard - Wednesday, April 13, 2016, 1:00 p.m. - 2:00 p.m. ET  
    Migrant Clinicians Network (MCN) is hosting this webinar to address the recently revised U.S. Environmental Protection Agency's Worker Protection Standard (WPS). MCN will provide participants with resources to help educate migratory and seasonal agricultural workers and their families about pesticide exposure and to assist clinicians in the recognition and management of pesticide exposure. View more information and register for this webinar.

    (5) Practice Operations Management, Level II(POM II) Training 
    April 20-21, 2016 | Charlotte, NC
    NACHC is pleased to present the Health Center Practice Operations Management Training - Level II (POM II). POM II offers health center Chief Operating Officers, Practice/Clinic and other managers, and Board Members an opportunity to learn and apply the critical management and leadership skills necessary to optimize performance. This training features a multidimensional approach to effective management and continuous improvement the areas in the health center: profitability, staffing, and patient workflow.

    (6) An In-Depth Look at FTCA Coverage for Health Centers.  Learn More
    Nashville, TN - May 4 & 5, 2016
    Philadelphia, PA - June 7 & 8, 2016
    Operating a health center within the confines of the Federal Tort Claims Act (FTCA) has never been more challenging. The myriad requirements and involvement of various agencies coupled with increased accountability and responsibility can make providing health care services to your patients a risky proposition. This training provides information from trusted and experienced health center attorneys, Marty Bree, Molly Evans, and Matthew Freedus, who for years have provided advice and counsel on the day-to-day issues that arise around FTCA at health centers.
    Emergency Preparedness Events: 

    MACHC's ICD-400 Training 
    Facilitated by Duane Taylor, CEO MACHC    
    April 20th 2016  1:00 -2:00 p.m. EDT
    A webinar Outlook invite will be sent to Emergency Management staff
    If you would like to be included on the list of invites, please email Aneeqa Chowdhury (aneeqa@machc.com)
    This course provides training and resources for personnel who require advanced application of the ICS. This course expands upon information covered in ICS-100 through ICS-300 courses. These earlier courses are prerequisites for ICS-400.
    While FEMA provides standard course materials, this course is typically coordinated and taught in the field by State or other agencies. It is intended for senior personnel who are expected to perform in a management capacity in an area command or multiagency coordination entity.

    CDC's Clinician Outreach and Communication Activity (COCA) prepares clinicians to respond to emerging health threats and public health emergencies by communicating relevant, timely information related to disease outbreaks, disasters, terrorism events, and other health alerts.

    If you are pregnant or trying 
    to become pregnant ...
    Take precautions to prevent Zika virus infection
    Zika is a generally mild illness currently widespread in Central and South America and the Caribbean.
    There have been reports of serious birth defects linked to the disease in other countries.
    * If you are pregnant, postpone travel to the countries where Zika virus transmission is ongoing.
    * If you are pregnant or may become pregnant and must travel to one of these areas, talk to your doctor first and strictly follow steps to prevent mosquito bites during your trip.
    * If you are trying to become pregnant, talk to your doctor before you travel about your plans to become pregnant and the risk of Zika virus.
    Travel and transmission advisories
    * If your male sexual partner has traveled to or lives in an area with active Zika virus transmission, condoms should be used for the duration of the pregnancy. Discuss your male partner's potential exposures and history of Zika-like illness with your doctor.
    Zika is a generally mild illness currently widespread in Central and South America and the Caribbean. There have been reports of serious birth defects linked to the disease in other countries.
    * If you are not pregnant, but your male partner lives in or has traveled to a country with Zika, consider using condoms.

    Preventing mosquito bites
    * Wear long-sleeved shirts and long pants.
    * Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.
    * Use Environmental Protection Agency (EPA) registered insect repellents. All EPA-registered insect repellents are evaluated for effectiveness.
    * Treat clothing and gear with permethrin or purchase permethrin-treated items.
    * Sleep under a mosquito bed net if you are overseas or outside and not able to protect yourself from mosquitos.
    Preventing mosquito bites
    For more information, including a list of countries where Zika virus transmission is ongoing, visit: www.dhss.delaware.gov/dhss/dph/zika.html

    Zika Resources at Your Fingertips 
    There are numerous resources about the Zika virus from the HHS Office of the Assistant Secretary for Preparedness and Response. These include an overview of public health and healthcare system considerations and implications that are applicable to professionals in those systems, emergency management stakeholders, and other audiences.

    Get to Know Your Regional Coordinators!
    Please get in touch with your Regional Coordinators if you have not already done so and be more active in your Regional Coalition. MACHC has reached out to you in order to make sure you know who your coordinators are and has planned MINI GRANTS as incentives to help with travel for the Coalition meetings.
    You should already have their contacts in emails I have sent within this year numerous times. Please find them below: 
    Regions I and II Health Care Coalition 
    [Allegany, Frederick, Garrett and Washington Counties]
    Allegany County Health Department
    12501 Willowbrook Road
    Cumberland, MD  21502
    301-759-5238 (Office)
    443-934-2232 (Mobile)
    301-777-2069 (Fax)

    [Baltimore City; Anne Arundel, Baltimore, Carroll, Harford and Howard Counties]
    Harford County Health Department
    120 S. Hays Street, Suite 230 
    Bel Air, MD  21014 
    410-877-1031 (Office)
    443-388-6290 (Mobile)

    Region IV 
    [Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico and Worcester Counties]
    Kristin McMenamin
    Kent County Health Department
    A.F. Whitsitt Center
    300 Scheeler Road, P.O. Box 229
    Chestertown, MD  21620
    410-778-4861 (Office)
    443-690-3091 (Mobile)
    410-778-4862 (Fax)

    Region V  Emergency Preparedness Coalition
    [Calvert, Charles, Montgomery, Prince George's and St. Mary's Counties]
    Casey Owens
    Office of Preparedness & Response
    Maryland Department of Health and Mental Hygiene
    300 W. Preston Street, Ste. 202
    Baltimore, MD  21201 

    Preparedness Resources 
    September is National Preparedness Month, a time for everyone to plan how to stay safe and communicate during the disasters that can affect your community. The Federal Emergency Management Agency (FEMA) developed resources that can help you spread the word about preparedness in your community.
    , and public service announcements. 

    How Prepared Is Your Community for an Emergency? 

    Download the kit checklist: 

    Family communication and evacuation plan: 

    *** Look for the latest EP related updates RIGHT HERE!
    Policy, Advocacy and Legislation
    National News
    Program Assistance Letter (PAL) 2016-02
    Approved Uniform Data System (UDS) Changes for Calendar Year 2016 -BPHC released PAL 2016-02, which outlines approved changes for the 2016 UDS to be reported by Health Center Program grantees and look-alikes in February 2017. Changes include:
    o   additions of sexual orientation and gender identity to the patient characteristics tables;
    o   addition of quality improvement staff, community health workers, and dental therapists to the staffing tables;
    o   revisions to the clinical quality measures to support data reporting standardization and reduce reporting burden; and
    o   addition to the health center electronic health record capabilities and quality recognition appendix.

    The Substance Abuse Mental Health Services Administration (SAMHSA) released the New Pocket Guide:  Medication-Assisted Treatment of Opioid Use Disorder, which includes:
    o   a checklist for prescribers;
    o   a list of FDA -approved medications for use in the treatment of opioid use disorder; and
    o  screening and assessment tools, including the Clinical Opiate Withdrawal Scale.

    Moving into a realm usually reserved for health care regulators, the California health marketplace Thursday unveiled sweeping reforms to its contracts with insurers, seeking to improve the quality of care, curb its cost and increase transparency for consumers. The attempt to impose quality and cost standards on health plans and doctors and hospitals appears to be the first by any Obamacare exchange in the nation.

    The Centers for Medicare & Medicaid Services (CMS) this week issued a final rule to strengthen access to mental health and substance use services for individuals with Medicaid or CHIP coverage, aligning with protections already required of private health plans. The final rule maintains state flexibility while guaranteeing that Medicaid enrollees are able to access important mental health and substance use services in the same manner as medical benefits.  Under the final rule, plans must disclose information on mental health and substance use disorder benefits upon request, including the criteria for determinations of medical necessity. The final rule also requires states to disclose the reason for any denial of reimbursement or payment for services with respect to mental health and substance use disorder benefits
      The state's health exchange expects to enroll more than 470,000 New Yorkers in its new low-cost option for coverage this year. Testifying at an Assembly hearing this week, exchange Executive Director Donna Frescatore said New York chose to participate with the Essential Plan. The plan is an option under the federal Affordable Care Act starting in 2016. It's aimed at adults who don't qualify for Medicaid but have been unable to afford private coverage. 

    For years, Eileen Shea says her former partner Eddie Sawyer struggled with a heroin addiction. But after losing his job and time with his daughter, he was ready to get help. He was on the waiting list for a bed at the Friendship House, northern New Hampshire's only residential treatment facility. He never made it to treatment. Instead, Sawyer was one of 428 people in New Hampshire who died last year from a drug overdose. When the police found him in his apartment, there was list of rehab facilities on the table next to his bed. It was a list Shea had given to him a month earlier, and there were check marks next to the name of each one. Sawyer had called every place on the list.

    For a generation of D.C. parents, the Flint crisis has dredged up painful memories of when they learned that glasses of tap water they handed to their children -- and drank while pregnant -- were poisoned.
    D.C. tap water is safer now than ever, the water utility says, but from 2001 to 2004, tap water samples contained as much as five times the concentration of lead the Environmental Protection Agency says is safe.

    Senate approves Medicaid expansion in a divided vote
    Low-income adults will be eligible for publicly funded health insurance for two more years under the state's Medicaid expansion program, thanks to a 16-8 Senate vote on Thursday. Gov. Maggie Hassan has said she will sign House Bill 1696. During two hours of debate, a majority of senators rejected proposals to change the bill. Six Republicans joined all 10 Democrats to approve the program, begun nearly two years ago under the Affordable Care Act. 

    In February 2015, Anthem made history when 78.8 million of its customers were hacked. It was the largest health care breach ever, and it opened the floodgates on a landmark year. More than 113 million medical records were compromised last year, according to the Office of Civil Rights (OCR) under Health and Human Services. Consider it this way: if each case represented a single individual, one in three Americans would have been a victim.

    HRSA's Women's History Month project depicts how "HRSA Delivers for Women's Health." These videos can be used as a tool to educate stakeholders about the important work that HRSA does each day.
    The National Practitioner Data Bank
    A Commitment to Quality- Federally-Qualified Health Centers and the National Practitioner Data Bank (NPDB) are committed to providing quality care and protecting patient safety.  Health centers query the NPDB during the credentialing process to make informed decisions regarding the recruitment of staff.  Reporting certain adverse clinical privileges actions, as required by law, helps to ensure the accuracy and thoroughness of the information in the NPDB and adds value for others who use the system. For more information on reporting requirements, visit the NPDB website and NPDB Guidebook.  

    The biggest lobby for senior citizens came out in favor of a major overhaul in how Medicare pays doctors for certain pharmaceuticals.AARP said Wednesday that it supports the federal government's decision to experiment on new ways to get doctors to prescribe less expensive drugs. The move comes against stiff opposition to the government proposal from Republicans and 300 groups.
    As the health law turned six Wednesday, federal officials proposed the expansion of a Medicare diabetes prevention program funded by the landmark measure.
    The pilot program, developed and administered by the YMCA, helped Medicare enrollees at high risk of developing the disease improve their diets, increase their exercise and lose about 5 percent of their body weight.
    State News
    Please contact the DPH Office of Infectious Disease Epidemiology at 888-295-5156 or 302-744-4990 for further information, to arrange for Zika testing (healthcare professionals only), or to report suspected cases.

    Informational flyers for pregnant women and their male partners
    * Flyer for pregnant women in English: http://www.dhss.delaware.gov/dhss/dph/files/zikaflyerforpregnantwomen.pdf
    * Flyer for pregnant women in Spanish: http://www.dhss.delaware.gov/dhss/dph/files/zikaflyerforpregnantwomensp.pdf
    * Flyer for pregnant women in Haitian Creole: http://www.dhss.delaware.gov/dhss/dph/files/zikaflyerforpregnantwomenhc.pdf

    Zika FAQs and Mosquito Control Tips
    * Facts and information on Zika and mosquito control: http://www.dhss.delaware.gov/dhss/dph/files/zikafaq.pdf in English. In Spanish: http://dhss.delaware.gov/dhss/dph/files/zikafaqsp.pdf and Haitian Creole: http://dhss.delaware.gov/dhss/dph/files/zikafaqhc.pdf

    Delaware Health Alert for Healthcare Providers
    * http://dhss.delaware.gov/dhss/dph/php/alertshan2016.html

    CDC and DPH Zika webpages
    * http://www.cdc.gov/zika/ in English. Spanish: http://www.cdc.gov/spanish/mediosdecomunicacion/comunicados/d_recomendaciones_viajeros_virus_del_zika_011516.htm
    * http://dhss.delaware.gov/dhss/dph/zika.html
    For the last several years, Martine Rothblatt  has been positioning United Therapeutics to manufacture transplantable human organs. This week, the founder and CEO of the Maryland biotech cornerstone told the state's tech community to get ready for a new industry to sprout from the idea.

    A New Tool to Determine if a Patient May Have a Problem with Alcohol or Drugs
    SBIRT Maryland website provides resources about assessing 
    alcohol and drug use to improve patients' health
    BALTIMORE, MD - Consumers and healthcare providers have a new online resource with a rich array of information about an alcohol and drug use screening and intervention service being implemented at primary care centers in Maryland. 
    The service, "Screening, Brief Intervention, and Referral to Treatment" or SBIRT, gives patients an opportunity, usually for the first time, to speak with their primary care provider in an open and nonjudgmental way about their use of alcohol or drugs.
    By asking five simple questions, health care providers are able to assess patients' risk for misuse of alcohol or drugs and offer education and motivational discussions that can help patients reduce use or seek treatment if needed.  The Maryland SBIRT project is leading an effort to expand the use of the SBIRT screening service by primary care providers across the state.
    "Most people don't know there are healthy and unhealthy limits for alcohol use, and by exceeding healthy limits people may be causing or worsening an existing health problem without realizing it," said Kathleen Westcoat, President and CEO of Behavioral Health System Baltimore. "SBIRT is an effective tool that primary care providers can use to help their patients understand how alcohol or drug use may be impacting their health.  Conversations between providers and patients can help Marylanders lead healthier lives by making them aware of how much is too much, and patients with more severe substance use problems may be linked with treatment."
    The new website, marylandsbirt.org, provides information about the SBIRT service, tools that providers can use to help patients assess and address alcohol and drug use, and links to other resources about alcohol and drug use disorders.
    A key goal of SBIRT is to have primary care providers - including doctors, nurse practitioners and physician assistants - have a conversation with patients about their use of alcohol and drugs, as a routine part of a visit. While some providers do typically ask patients about their use of alcohol and drugs, others do not.
    The Maryland SBIRT project launched in 2014. Over its first two years, the project led to 49,527 adults and 2,839 adolescent patients being screened through the SBIRT protocol at 26 sites in eight Maryland counties.  
    During the next three years, more primary care centers and two hospitals in Maryland will begin offering the SBIRT services to patients, with support provided by the Maryland SBIRT project.
    The Maryland SBIRT project is led by Behavioral Health System Baltimore, with funding from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) and the Conrad N. Hilton Foundation. A key partner is the Maryland Behavioral Health Administration.  The Mosaic Group, a Baltimore-based health care consulting firm, is leading the implementation and technical assistance for SBIRT in all sites statewide. 
    For more information, please contact Rachel Indek at 410-357-1046, or Rachel.Indek@bhsbaltimore.org.

    Finance & Business
    UnitedHealth Makes Good on Threat to Pull Out of Obamacare 
    UnitedHealth Group Inc., the largest U.S. health insurer, has decided to call it quits in two state Affordable Care Act markets in the latest challenge to President Barack Obama's health-care overhaul. The insurer won't sell plans for next year in Georgia and Arkansas, according to state insurance regulators. Tyler Mason, a UnitedHealth spokesman, confirmed the exits and declined to say whether the company would drop out of additional states. Many insurers have found it difficult to turn a profit in the new markets created by the Affordable Care Act, where individuals turned out to be more costly to care for than the companies expected. 

    Medicare Plan On Payment For Cancer Drugs Stirs Battle
    A Medicare proposal to test new ways of paying for chemotherapy and other drugs given in a doctor's office has sparked a furious battle, and cancer doctors are demanding that the Obama administration scrap the experiment. The vehement reaction is raising questions about the government's ability to tackle high drug costs, the top health care concern for the public. (Alonso-Zaldivar, 4/11)
    In other drug pricing news, PhRMA and Hillary Clinton can agree on one thing, Boston is hit especially hard with sky-high pharmaceutical costs and California tries a new approach 

    The Republican-dominated Legislature convenes Wednesday for its fiscal session. At stake is the future of the Arkansas version of Medicaid expansion that provides health insurance to about 267,000 low-income Arkansans. ... Twenty-seven votes are required in the 35-member Senate and 75 votes in the 100-member House to reauthorize use of federal Medicaid dollars to purchase private health insurance for low-income Arkansans in fiscal 2017, which starts July 1. "It is going to be a hard lift, absolutely," said Sen. David Sanders, R-Little Rock, one of three legislative architects of the private-option program that Gov. Asa Hutchinson calls Arkansas Works. 
    Latest News on ACA


    Enroll America Conference May 11-13, 2016
    Early bird discount!
    To take advantage of this early bird registration period, please go to
    StateofEnrollment.org and register for the conference using the following code: SCHOEA151. This early bird extension is only available until April 15, 2016. If you have not registered by that date you will be required to pay the standard registration rate.
    For more info about the conference, look below:
    Join Enroll America at the State of Enrollment Conference in Washington, D.C., May 11-13.
    With over two days of plenaries, workshops, trainings, and networking events, the conference offers valuable opportunities to share ideas, learn from each other and plan for the future as we continue to help Americans enroll in and retain health coverage. Connect with peers and partners from across the country as we take a critical look at what worked better during the third open enrollment period for the health insurance marketplaces, what barriers remain to enrolling and retaining consumers in health coverage, and how we can continue working as a community to build and sustain momentum in our ongoing effort to get America covered for years to come.

    A new brief from NASHP looks at how the Children's Health Insurance Program (CHIP) has and continues to be an important source of coverage for low-to-moderate income children, but federal funding for this program is uncertain beyond September 2017. With support from the David and Lucile Packard Foundation, NASHP convened a stakeholder group of health policy experts that included national advocates and state officials representing Medicaid, CHIP and health insurance exchanges to explore the policy options states may have to maintain children's coverage into the future. This brief provides an overview of children's current coverage options and summarizes the themes from the stakeholder group's discussions that identified potential options for ensuring strong children's coverage into the future. 

    Marketplace Announces 2017-2019 Open Enrollment Dates
    • 2017 Benefit Year (OE4): November 1st, 2016-January 31st, 2017 (coming up!)
    • 2018 Benefit Year (OE5): November 1st, 2017-January 31st, 2018
    • 2019 Benefit Year (OE6): November 1st, 2018-December 31st, 2018
    NEW: Ending Special Enrollment Period (SEP) Retroactive Coverage
    On April 1st,  the Centers for Medicare and Medicaid Services (CMS) issued guidance announcing that after March 31, 2016 the Marketplace will no longer be accepting new requests for Special Enrollment Period (SEP) for retroactive coverage back to 2015. All retro SEP requests received after this date will receive a max retro date of January 1, 2016.

    Outreach and Enrollment (O/E) Quarterly Progress Report (QPR) Reminder
    The O/E QPR, covering the period of Jan. 1, 2016 through March 31, 2016, is due April 14, 2016. Health centers should report only on activities for this specific reporting period. Frequently asked questions and other resources can be found here. Any other questions should be directed to bphc-oe@hrsa.gov.
    MACHC Conference Call Updates
    Marketplace Announces 2017-2019 Open Enrollment Dates
    • 2017 Benefit Year (OE4): November 1st, 2016-January 31st, 2017
    • 2018 Benefit Year (OE5): November 1st, 2017-January 31st, 2018
    • 2019 Benefit Year (OE6): November 1st, 2018-December 31st, 201
    *Please note, the next Outreach and Enrollment QPR (January 1 - March 31) will be available in the Electronic Handbook (EHB) on April 1 and is due April 14, 2016.

    Join MACHC's next Outreach & Enrollment Call ON FRIDAY, 
    May 20, 2016.
    We took a poll at the past conference call but would like to continue to ask you to submit the following: What would you like to included as part of Maryland & Delaware's Outreach & Enrollment assistance from MACHC? Please send Aneeqa Chowdhury an email at aneeqa@machc.com.

    Maryland--Call Center Note:
    Direct Line for Navigators and CAC to MHBE Call Center--Regarding the Call Center # 844-224-6762 It should be noted that: If you need customer assistance from the call center, CAC's should call this number.
    Grants & Funding Opportunities

    Ongoing Accepted Applications

    Application Deadline: None 
    Eligible state and local government agencies and nonprofit organizations, including health centers, can obtain property that the federal government no longer needs through the Federal Surplus Personal Property Donation Program.

    Application Deadline: Applications accepted on an ongoing basis
    Funding for hunger prevention, self-sufficiency, healthcare, and education to those who are underserved. 

    Application Deadline: Applications accepted on an ongoing basis
    Provides seed funding to emerging nonprofits, or to new projects of established organizations in the areas of education; environment; health and human services; and hunger and nutrition. Pennsylvania is one of 13 eligible states.

    Application Deadline:  Applications Accepted on an Ongoing Basis
    The Community Response Fund supports organizations, activities, and events that address access to needed oral health care and community resources that improve oral health. Programs that address an immediate response to an urgent issue that impacts access to clinical care, provide short-term access to needed care for the underserved, or sustain organizations experiencing short-term challenges are the focus. A limited number of program concepts that provide longer term solutions or essential services for particularly underserved populations will also be considered. The program will also support Missions of Mercy clinics.

    Rural Health Funding Opportunities

    Community Response Fund
    The Community Response Fund supports organizations, activities, and events that address access to needed oral healthcare and community resources that improve oral health. Programs that address an immediate response to an urgent issue that impacts access to clinical care, provide short-term access to needed care for the underserved, or sustain organizations experiencing short-term challenges are the focus. A limited number of program concepts that provide longer term solutions or essential services for particularly underserved populations will also be considered. The program will also support Missions of Mercy clinics.
    DEADLINE: ongoing basis
    ELIGABILITY: The DentaQuest Foundation makes grants to a variety of organizations that are engaged improving oral health. Grants are not made to individuals.
    CONTACT: Matthew Bond, Grants and Programs Manager: Matthew.Bond@DentaQuestFoundation.org 

    340B Peer-to-Peer Program
    The purpose of the 340B Peer-to-Peer Network is to connect 340B entities and stakeholders with high performing sites, called leading practice sites that have exemplary 340B pharmacy service offerings. These sites serve as guides for covered entities that are interested in improving patient care. This approach provides the opportunity for practice sites to reach their peers and strengthen the 340B program from inventory management to quality care initiatives.
    Sites that receive the status of a 340B Peer-to-Peer recognized site will be asked to dedicate two members of their team to share their expertise and leading practices - for a limited amount of time per month - with other safety-net organizations to help these organizations achieve results and establish sound business practices.
    FUNDING AVALIABLE: Peer-to-Peer annual stipends of $10,000/year
    ELIGABILITY: Applications must be submitted by a 340B entity listed on the Office of Pharmacy Affairs (OPA) 340B database as a participating 340B entity.
    Healthcare Connect Fund
    The Healthcare Connect Fund provides funding to healthcare providers for telecommunications and internet access services, as well as network equipment, at a flat discounted rate of 65%. Participants can apply as a member of the consortium or a stand-alone entity.
    FUNDING AVAILABLE: Participants will receive a flat rate discount of 65%. There is an annual spending cap of $400,000,000.
    ELIGIBLITY: Rural public or nonprofit healthcare providers (HCPs) are eligible. Consortia may be comprised of both rural and non-rural HCPs. All consortia must consist of more than 50% rural participation within three years of receipt of the first funding commitment obtained through the HCF Program. Connections to, and equipment located at, eligible off-site data centers and administrative offices are eligible for support.
    CONTACT: rhc-assist@usac.org

    USAC Rural Health Care Telecommunications Program
    Health care providers are permitted to apply to receive reduced rates for a variety of telecommunications services under the Rural Health Care Program. Health care providers may seek support for multiple telecommunications services of any bandwidth and for monthly Internet service charges.
    FUNDING AVALIABLE: The level of support depends on the HCP's location and the type of service chosen. Health Care Providers are permitted to apply to receive reduced rates for a variety of telecommunication services under the RHCD program. HCPs may seek support for multiple telecommunications services of any bandwidth.

    As a result of recent Federal Communications Commission (FCC) action, health care participants may be eligible to receive a 25% discount on their monthly Internet service charges. These services are limited to the monthly Internet net access charge, monthly charges for web hosting and web addresses.
    ELIGIBILITY: Community health centers or health centers providing health care to migrants
    CONTACT: rhc-admin@universalservice.org

    Wells Fargo Corporate Giving Programs
    Wells Fargo supports nonprofit organizations that work on a community level in the areas of human services, arts and culture, community development, civic responsibility, education, environmental consciousness, and volunteerism.
    CONTACT: Ashley Williams -- Community Support Rep -- Wells Fargo

    Maryland Small Grants Program
    The Maryland Small Grants Program awards funding to nonprofit organizations that provide direct services to poor and vulnerable populations.
    FUNDING AVALIABLE: Award Ceiling: $50,000
    CONTACT: Amy Kleine, Program Director, Basic Human Needs
    410-654-8500, ext. 268
    Email: akleine@hjweinberg.org

    Accelerating Community-Centered Approaches in Health
    Accelerating Community-Centered Approaches in Health will support innovative population health programs and policies that work to improve health at the community level, including the use of new financial models to achieve cost effective solutions.
    CONTACT: Phone: 248.643.9630

    Commonwealth Fund Health Grants
    The Commonwealth Fund promotes a high performing healthcare system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including people with low-incomes, the uninsured, minority Americans, young children, people with disabilities, and the elderly.
    The Fund supports independent research on healthcare issues and makes grants to improve healthcare practice and policy. The Commonwealth Fund actively seeks to support projects on innovative approaches to addressing problems within its areas of focus.
    CONTACT: Email: grants@cmwf.org
    Phone: 212.606.3800

    USDA Community Facilities Loan and Grant Program
    The USDA Community Facilities Loan and Grant Program provides loans, grants, and loan guarantees for essential community facilities in rural areas. Priority is given to healthcare, education, and public safety projects. Funds may be used to construct, enlarge, or improve facilities.
    AVALIABLE FUNDING: Amount varies. Grants are authorized on a graduated scale. Applicants located in small communities with low populations and low incomes will receive a higher percentage of grants.
    CONTACT: Bill McGowan, State Director
    1221 College Park Drive, Suite 200
    Dover, DE  19904
    Voice: (302) 857-3580 www.rd.usda.gov/de
    PCMH Corner 
    No PCMH News this week, please check next week :)
    Clinical Quality 
    Benefits of Family Presence During Pediatric Intubation
    Often Outweigh Risks
    The benefits of having a family member present during invasive pediatric procedures far outweigh the risks, which include a potential increase in stress for clinicians and family members, according to an AHRQ-funded study. The study examined whether the presence of a family member during tracheal intubation was associated with a successful first attempt at the procedure, adverse events associated with tracheal intubation, oxygen desaturation and higher team stress levels. Researchers reviewed data from 22 pediatric intensive care units between July 2010 and March 2014, which included 4,030 tracheal intubations, to evaluate the association of family presence and procedure and provider outcomes. They found no significant negative effect of documented family presence on provider performance, team stress or patient outcomes during the procedures. These findings suggested that tracheal intubation can safely be implemented with a child's family present as part of a family-centered care model. 

    Continuing-Education Module on Diagnosis and Management of Gout
    A new continuing-education module from AHRQ, Diagnosis and Management of Gout, summarizes evidence on the safety and accuracy of diagnostic tests for gout while also discussing dietary and lifestyle strategies and pharmacologic options for managing this painful condition. The module also summarizes evidence about the relationship between management of serum urate levels and risk of acute gout attacks depending on treatment duration and disease severity. Factors impacting treatment monitoring and medication discontinuation also are covered. The module is based on two recently released AHRQ evidence reports: Diagnosis of Gout andManagement of Gout. Gout is one of the most common forms of arthritis, disproportionately affecting males and early menopausal females. It is also associated with family history and advancing age.

    Staff Satisfaction in Community Health Centers 
    April 14, 2016, 2:00 p.m. - 3:00 p.m. CST
    Join the National Center for Farmworker Health for this webinar to learn about strategies and tools to administer and assess staff satisfactions surveys.  View more information and register for this webinar
    Health Observances This Week


     April is Alcohol Awareness MonthNational Infant Immunization Week 
    National Infant Immunization Week (NIIW) is an annual observance to promote the benefits of immunizations and to improve the health of children two years old or younger. Since 1994, local and state health departments, national immunization partners, healthcare professionals, community leaders from across the United States, and the Centers for Disease Control and Prevention (CDC) have worked together through NIIW to highlight the positive impact of vaccination on the lives of infants and children, and to call attention to immunization achievements.
    2016 NIIW
    NIIW, set for April 16-23, 2016, will be celebrated as part of World Immunization Week (WIW), an initiative of the World Health Organization (WHO). During WIW, all six WHO regions, including more than 180 Member States, territories, and areas, will simultaneously promote immunization, advance equity in the use of vaccines and universal access to vaccination services, and enable cooperation on cross-border immunization activities.
    Milestones Reached
    Several important milestones already have been reached in controlling vaccine-preventable diseases among infants worldwide. Vaccines have drastically reduced infant death and disability caused by preventable diseases in the United States. In addition:
    • Through immunization, we can now protect infants and children from 14 vaccine-preventable diseases before age two.
    • In the 1950's, nearly every child developed measles, and unfortunately, some even died from this serious disease. Today, many practicing physicians have never seen a case of measles.
    • Routine childhood immunization in one birth cohort prevents about 20 million cases of disease and about 42,000 deaths. It also saves about $13.5 billion in direct costs.
    • The National Immunization Survey has consistently shown that childhood immunization rates for vaccines routinely recommended for children remain at or near record levels.
    It's easy to think of these as diseases of the past. But the truth is they still exist. Children in the United States can-and do-still get some of these diseases.
    One example of the seriousness of vaccine preventable diseases is an increase in measles cases or outbreaks that were reported in 2014. The United States experienced a record number of measles cases, with 667 cases from 27 states reported to CDC's NCIRD. This was the greatest number of cases in the U.S. since measles was eliminated in 2000.
    Opportunities for NIIW
    NIIW provides an opportunity to:
    • Highlight the dangers of vaccine-preventable diseases, especially to infants and young children, and the importance and benefits of childhood immunizations.
    • Educate parents and caregivers about the importance of vaccination in protecting their children from birth against vaccine-preventable diseases.
    • Focus attention on our immunization achievements and celebrate the accomplishments made possible through successful collaboration.
    • Step up efforts to protect children against vaccine-preventable diseases and thereby give them a healthy start in life.
    • Encourage better communication between parents and health care professionals.
    • Remind parents and caregivers they need to make and keep needed immunization appointments.
    • Provide parents and caregivers with a toll-free number, 800-CDC-INFO (800-232-4636), to locate a facility that offers immunizations through the Vaccines for Children's program, a federally funded program that provides vaccinations at no cost to children whose parents cannot afford to pay for them.

    NIIW also supports efforts to:
    • Provide web-based resources for state and local health departments and local coalitions to develop and implement a communication strategy that will increase awareness of the importance of immunization and improve local vaccine coverage rates.
    • Create events that attract community support and media interest in order to increase national and local coverage of stories on the importance of childhood immunization.
    • Provide a forum to pitch news stories, provide media hooks to interest local media in developing feature stories on the importance of childhood immunization, and create opportunities for local media interviews with immunization experts.
    • Recognize local partners and volunteers for their year-round efforts helping to raise childhood immunization coverage, with special emphasis on completing the vaccination series.
    • Create opportunities for local organizations and agencies to work together as immunization partners.
    Has your FQHC joined the National Branding Campaign?


    With more than 43 billion people  eligible to enroll in private insurance starting this October 1, FQHCs strive to create an identifiable unifying identity for themselves. This is where the National Branding Campaign for Our Health Centers comes into place. 

    The campaign is a national branding effort to strengthen recognition of our Health Centers as a unified and nationwide network of quality community-based primary care providers.  Initially created at the state level by the Pennsylvania Association of Community Health Centers (PACHC) and its membership, the National Association of Community Health Centers has expanded the campaign nationwide.


    The FQHC Brand Components  

    MACHC recently hosted a Branding Webinar for MD and DE Health Centers with CEO of PACHC, Cheri Reinhart and Event and Communications Coordinator, Kirsten Keyes, as guest speakers. If you missed the webinar and would like access, please click here.

    Mid-Atlantic Association of Community Health Centers | | aneeqa@machc.com |